Revenue Cycle Data Analyst - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ

Position Overview

Responsible for delivering accurate, actionable reporting and insights across Revenue Cycle leadership, with a primary focus on Revenue Integrity and Denials Management. Supports operational and executive decision-making by identifying trends, quantifying revenue risk/opportunity, and tracking performance across pre-bill, claim adjudication, denial, and appeal workflows. Partners with clinical, billing, coding, case management, and finance teams to improve data visibility, reduce avoidable denials, and strengthen end-to-end revenue cycle performance.

Minimum Requirements

• Education: Bachelor’s degree in healthcare administration, Finance, Business, Data Analytics, or related field.
• Experience: Three years' experience in healthcare revenue cycle, revenue integrity, denials, reimbursement analytics, or related financial/operational analytics role.

Other Credentials

• Knowledge and Skills: Strong analytical skills with the ability to interpret complex healthcare claims and reimbursement data. Advanced proficiency in Excel (pivot tables, lookups, formulas, data validation). Experience creating reports and dashboards for leadership audiences. Strong communication skills with ability to translate data into clear business insights and recommendations.

Mental, Behavioral and Emotional Abilities

• Must have ability to meet deadlines and attention to detail.
• Must demonstrate good judgment.
• Must be metric-driven and results oriented.

Usual Work Day

8 Hours

Reporting Relationships

No

Essential Functions

• Develop, maintain, and distribute recurring and ad hoc revenue cycle reports for leadership and operational teams.
• Builds dashboards and scorecards focused on denial trends, appeal performance, underpayments, pre-bill edits/holds, and revenue integrity outcomes.
• Analyzes root causes of denials by payer, denial reason, service line, DRG, location, and workflow ownership.
• Monitor and report key KPIs, including (as applicable): Initial denial rate, Preventable denial rate, Appeal overturn rate, Days to appeal submission/resolution, DNFB aging and pre-bill hold impact, Net collections and reimbursement variance trends.
• Support denials task force and revenue integrity governance by preparing meeting materials, trend summaries, and action-oriented insights.
• Reconciles data across source systems (EMR, billing, clearinghouse, denials/work queue tools) and validate report accuracy.
• Maintains charge capture performance and identify potential revenue leakage across inpatient and outpatient workflows, including missed charges, late charges, charge lag, and documentation-to-bill discrepancies.
• Analyzes trends in late charges and post-bill adjustments; quantify financial impact and partner with clinical and operational leaders to strengthen charge capture controls and reduce avoidable revenue loss.
• Identifies process breakdowns and collaborate with operations on corrective action tracking and follow-up reporting.
• Assists with payer policy impact analyses and retrospective reviews to quantify financial and operational impact.
• Contributes to annual goal setting, baseline development, and performance monitoring across revenue cycle priorities.
• Perform other duties as assigned.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

• Frequent physical demands include: Standing, Walking, Talk or Hear.
• Occasional physical demands include: Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl, Wrist position deviation.
• Continuous physical demands include: Sitting, Pinching/fine motor activities, Keyboard use/repetitive motion.

Sensory Requirements

• Very Accurate 20/40, Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Minimal Hearing.

Anticipated Occupational Exposure Risks

• N/A

This Position Is Eligible For The Following Benefits

• Medical Plan
• Prescription drug coverage & In-House Employee Pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA)
• Healthcare FSA
• Dependent Care FSA
• Retail Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits – Long Term Disability (LTD)
• Disability Benefits – Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance
• Voluntary Life Spouse
• Voluntary Life Employee
• Child
• Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time-Off Program